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Epitope prime editing shields hematopoietic cells from CD123 immunotherapy for acute myeloid leukemia

Cell Stem Cell. 2024-09; 
Rui-Jin Ji , Guo-Hua Cao , Wei-Qiang Zhao , Mu-Yao Wang , Pan Gao, Yi-Zhou Zhang, Xue-Bin Wang, Hou-Yuan Qiu , Di-Di Chen, Xiao-Han Tong , Min Duan, Hao Yin, Ying Zhang
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Synthetic sgRNA and crRNA Service Chemically modified gRNA or epegRNAs was synthesized by GenScript and GeneralBiol. Due to the length limitations of solid-phase synthesis for epegRNAs, we employed a new method called L-epeg.54 Get A Quote

摘要

Acute myeloid leukemia (AML) is a malignant cancer characterized by abnormal differentiation of hematopoietic stem and progenitor cells (HSPCs). While chimeric antigen receptor T (CAR-T) cell immunotherapies target AML cells, they often induce severe on-target/off-tumor toxicity by attacking normal cells expressing the same antigen. Here, we used base editors (BEs) and a prime editor (PE) to modify the epitope of CD123 on HSPCs, protecting healthy cells from CAR-T-induced cytotoxicity while maintaining their normal function. Although BE effectively edits epitopes, complex bystander products are a concern. To enhance precision, we optimized prime editing, increasing the editing efficiency from 5.9% to 78.9% in H... More

关键词

CAR-T immunotherapy; CD123; HSPCs; acute myeloid leukemia; base editing; bystander products; epitope editing; hematopoietic stem and progenitor cell; on-target off-tumor toxicity; prime editing.
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